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Ramadan Perspective Epidemiology and Education in Diabetes (RAPEED) Study
N I Siddiqui1, M Kamrul-Hasan, M A Hossain
1Professor Md Nazrul Islam Siddiqui, Professor & Head, Department of Endocrinology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.
Mymensingh Medical Journal : MMJ
|June 8, 2017
Summary
Many people with diabetes fast during Ramadan, but safe fasting practices are a challenge. This study highlights the need for better physician advice and patient awareness to prevent hypoglycemia during Ramadan fasting.
Area of Science:
- Endocrinology
- Public Health
- Epidemiology
Background:
- Ramadan fasting is a religious obligation for Muslims, with many individuals with diabetes observing it.
- Managing diabetes during Ramadan presents unique challenges due to altered eating patterns and medication schedules.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices regarding Ramadan fasting among diabetic patients in Bangladesh.
- To identify factors influencing safe fasting and the incidence of hypoglycemia during Ramadan.
Main Methods:
- A retrospective cross-sectional study involving 648 diabetic patients in Bangladesh.
- Data collected included socio-demographics, diabetes management, lifestyle changes, and hypoglycemia episodes during Ramadan.
Main Results:
- Most diabetic patients fasted, with many receiving physician advice and adjusting medications.
- Despite lifestyle modifications like reduced sugar intake and increased fluids, a significant portion did not monitor blood glucose or consult physicians.
- Hypoglycemia occurred in 14.85% of fasters, more frequently in insulin users and those receiving fasting advice.
Conclusions:
- Safe Ramadan fasting requires enhanced patient awareness and physician expertise.
- Improved education and communication are crucial for managing diabetes effectively during Ramadan.